By Angela Setaro posted 02-01-2019 09:41 AM

Hi All, 

I am a Nurse Manager for 9 ketamine clinics nationwide.  We administer low doses of ketamine to patients suffering from treatment resistant depression, PTSD, and other mood disorders.  These treatments have been very successful.

We will be adding TMS as an additional service to our patients in 2019.  I do not have any experience with TMS and would love to hear from others who do.  We hired a TMS Director to get us started, but I question a lot of his recommendations.  Please feel free to reply with any tips, information, or anything else you feel will be helpful to me.  I signed up for a TMS conference and have been doing a lot of research/reading, but there is nothing like information from people who have hands-on experience.  I'm also interested in your Seizure policy for TMS, if you have one.

Thanks so much for your help.  I hope everyone has a great day!

Angela Setaro
Actify Neurotherapies
1 comment



02-02-2019 01:05 PM

Good Morning! I helped a physician start up a TMS clinic in Skillman, NJ from 2009 to the beginning of 2011.  It was a little while ago but thought I would at least throw it out there. I can possibly help you a little. As for our seizure policy, to be honest, seizures are an EXTREMELY low occurrence, especially when used a directed.  I think during the study trials there were no seizures, it was just acknowledged as a theoretical possibility. During the first two years following FDA approval, I believe there were reports of one seizure. Our policy, as a traditional out patient providers office, was to discontinue treatment, ensure patient safety, note start time of seizure, and call 911. But we never had any seizures in our practice.  I am extremely interested in your ketamine clinic! I read up a bit about it but was wondering if you had access to any research materials on it?